{"npi":"1124419379","type":"NPI-2","status":"active","name":{"display":"I Choose Life Addiction Specialist","other":[],"organization_name":"I CHOOSE LIFE ADDICTION SPECIALIST","authorised_official":"Renaldo Moodie"},"specialty":{"primary_taxonomy":"261QR0405X","primary_taxonomy_description":"Substance Use Disorder Rehabilitation Clinic/Center","slug":"substance-use-disorder-rehabilitation-clinic-center","schema_org_specialty":null,"all":[{"code":"251B00000X","description":"Case Management Agency","primary":false,"state":null,"license":null},{"code":"251S00000X","description":"Community/Behavioral Health Agency","primary":false,"state":null,"license":null},{"code":"261Q00000X","description":"Clinic/Center","primary":false,"state":null,"license":null},{"code":"261QM0801X","description":"Mental Health Clinic/Center (Including Community Mental Health Center)","primary":false,"state":null,"license":null},{"code":"261QM0850X","description":"Adult Mental Health Clinic/Center","primary":false,"state":null,"license":null},{"code":"261QM0855X","description":"Adolescent and Children Mental Health Clinic/Center","primary":false,"state":null,"license":null},{"code":"261QR0401X","description":"Comprehensive Outpatient Rehabilitation Facility (CORF)","primary":false,"state":null,"license":null},{"code":"261QR0405X","description":"Substance Use Disorder Rehabilitation Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"425 E 6TH ST","city":"CORONA","state":"CA","postal_code":"928791566","country_code":"US","street_2":"UNIT 201","phone":"9513398443","fax":"9513398443"},{"purpose":"MAILING","street_1":"3380 LA SIERRA AVE","city":"RIVERSIDE","state":"CA","postal_code":"925035271","country_code":"US","street_2":"SUITE 104-730","phone":"9513398443","fax":"9513398443"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2015-02-10","last_updated":"2015-02-10","_meta":{"source":"NPPES","snapshot_date":"2015-02-10","doc_url":"https://findmynpi.com/api"}}